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Individual

MR. JERRY DUANE WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
1520 CALIFORNIA AVE, LOUISVILLE, OH 44641
(330) 581-3681
(330) 875-1451
Mailing address
PO BOX 243, 1520 CALIFORNIA AVE, LOUISVILLE, OH 44641
(330) 581-3681
(330) 875-1451

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
I0008237
OH
104100000X
Social Worker
Primary
I0008237
OH

Other

Enumeration date
10/17/2007
Last updated
11/10/2008
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